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CITY OF ORONO *��z� I 17���_ 0I'III <br /> 1 12 ll <br /> * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 795 OLD CRYSTAL BAY RD N <br /> PIN : 28-118-23-34-0003 <br /> LEGAL DESC : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 12,980.00 <br /> NOTE: (2)REZNOR HEATING SYSTEMS <br /> (1)GOODMAN HEATING SYSTEM <br /> (1)GOODMAN COOLING SYSTEM <br /> APPLICANT MECHANICAL 162.25 <br /> STATE SURCHARGE MECH(VALUATION) 6.49 <br /> ULTIMATE CONSTRUCTION SERVICES MAIL IN FEE 2.00 <br /> 3025 HARBOR LANE N <br /> PLYMOUTH,MN 55441- TOTAL 170.74 <br /> (763)559-7300 Payment(s) <br /> Minnesota State License#:mech-MB720227 CHECK 200159 170.74 <br /> OWNER <br /> 278,ORONO SCHOOL DIST NO. <br /> 795 OLD CRYSTAL BAY RD N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 5W—attGC 6 OftJ Re/C-1-6 9 //9 / l7 <br /> Applicant Permitee Signature Date Issued By Snature Date <br />